urinary organs, as in cases of chronic inflammation of the mucous membrane of the bladder, irritable conditions of the urethra, in urinary deposits with increased uric acid, and in incontinence connected with diseased prostate. Profuse muco-purulent discharges with vesico-renal irritation, point to its use. Acid urine, with continual desire to urinate, and when but little relief is experienced from the effort, calls for barosma."-King's Amer. Disp., p. 372.

"Barosma is a valuable remedy in sub-acute and chronic diseases of the genito-urinary tract, but is not adapted to cases where there is active inflammation. It has a specific soothing and stimulating influence upon the mucous membranes of the urinary organs, and is especially indicated in any case of lowered systemic tone in which there is an acid urine heavily loaded with mucus or mucopus. In cases in which there is a constant desire to micturate, and the action gives little or no relief, its action is markedly corrective, and in retention or incontinence of urine, barosma is a very efficient remedy."-Ffye: Spec. Med. & Diag., p. 407.

"Barosma relieves irritation of the bladder and urethra, and is valuable in catarrh of the bladder, pyelitis, and gonorrhea. In chronic cases of irritable bladder it has long been used, especially if caused by excess of uric acid. It controls the irritation, reduces the excess of acid, and relieves the urinary incontinence depending upon it."-Ellingwood's Mater. Med. & Ther., p. 520.

"Barosma is a favorite remedy with a large number of practitioners, on account of its soothing effect on the vesico-renal mucous membrane. It is useful in chronic inflammation of this part, characterized by profuse mucous or muco-purulent discharge."Webster: Dynamical Ther., p. 422.

Chimaphila.-R Specific medicine chimaphila, drops 30 to 60; water, oz. iv. M. Teaspoonful every two or four hours.

"Specific medicine chimaphila is useful in chronic catarrh of the bladder, inflamed and swollen prostate gland, with discharge of prostatic fluid, also when the urine is thick and ropy with bloody sediment, and there is itching in the bladder and urethra with strangury, this remedy will give relief."-Ellingwood: Mat. Med. & Ther., p. 464.

"Chimaphila improves the recuperative powers of the urinary tract and is useful where chronic disease here has been followed by debility. It also relieves irritation and is usefuì in chronic cystitis."-Webster: Dynamic Therapeutics, p. 427.

"In renal and vesical affections, especially when the urine is scanty and loaded with muco-purulent sediment, chimaphila is a remedy of value. Its kindly action in catarrhal states of the bladder has caused it to become a favorite remedy in chronic diseases characterized by a discharge of mucus, pus, or blood from that organ. It is especially adapted to chronic forms of bladder troubles."-Fyfe: Spec. Med. & Spec. Diagnosis, p. 462.

"Chimaphila is very valuable in treatment of diseases of the urinary organs. Use it in catarrh of the bladder with offensive urine, and in urethritis with profuse mucous flow. In chronic affections of the kidneys and bladder, attended with profuse discharge of mucus, this is a very good remedy."-Locke's Mat. Med., p. 120.

"Chimaphila. Irritation of any part of the urinary tract is relieved by it, and the circulation and nutrition of the part improved. Catarrh of the bladder, with offensive urine, or urine loaded with mucus, muco-pus, or even blood, are cases for its administration."-King's Amer. Disp., p. 497.

Triticum.-R Specific medicine triticum, drops 10 to 60; water, oz. iv. M. Dose: Teaspoonful every two hours.

"Triticum is useful in irritation of the urinary mucous membranes and catarrh of urinary surfaces."-Fyfe's Spec. & Diag., p.

751.

"The action of triticum is solely upon the urinary apparatus. It exercises a soothing, diuretic influence, greatly increasing the flow of the watery portions of the urine without, to the same extent, influencing the actual renal secretion. It is bland, mild, and unirritating and is used wherever urine, having a high specific gravity, causes irritation of the kidneys or bladder. It is a useful agent in catarrhal and purulent cystitis relieving dysuria and tenesmus."Ellingwood, Mat. Med. & Ther., p. 522.

Equisetum.-R Specific medicine equisetum, drops 30 to 60; water, oz. iv. M. Dose: Teaspoonful every two or four hours.

"Equisetum has a specific action in irritation of the bladder and in dysuria with tenesmic urging, and in incontinence of urine."King's Amer. Disp., p. 715.

"In cases of irritable bladder with much tenesmus, equisetum is soothing in its influence; it is valuable in incontinence of urine induced by cystic irritation."-Ellingwood: Mat. Med. & Ther., p. 533.

"Equisetum is a valuable remedy in suppression of urine from any cause, and is of special value in dropsy when the urine is scanty, of high specific gravity, and dark in color. In cases of irritable bladder with severe tenesmus it exerts a soothing influence."-Fyfe: Spec. Med. & Spec. Diag., p. 515.

"Equisetum is a remedy of more than ordinary virtue in the treatment of cystic irritation. It is valuable in dysuria with urgent tenesmus, in incontinence of urine from cystic irritation, either in the old or young."-Webster: Dynamic Ther., p. 433.

The aforementioned remedies are among the leading Eclectic agents successfully used in the treatment of cystitis, acute or chronic. We also have other medicines which may be indicated in bladder pathology, but which must be omitted here from the limiting nature of this publication. The treatment will follow closely the symptomatic manifestations and the ability to so apply remedies will give greater success in healing and inspire greater confidence in specific medicines.

For the most part remedies are used in combination in this affection because there is usually a combination of symptoms and congenial medicines can be given at the same time, and yet each perform its specific work in morbid conditions.

CASE EXAMPLES FROM THE WRITER'S PRACTICE.-Case (1).— Patient, aged 30 years; female; married; 3 children: Symptoms: Frequent and painful urination; pain on pressure in region of bladder; urine scanty, streaked with blood and pus; temp., 102° F.; pulse, 100; bowels, constipated.

Patient in recumbent position with legs flexed, but would arise every 14 or 20 minutes to attempt urination.

Treatment.-First a brisk saline cathartic was administered. Warm boracic douches every six hours. An infusion of cut althea and hair cap moss; tablespoonful every two hours.

R Specific medicine eryngium, drams ii; specific medicine apis, gtt. x; specific medicine aconite, gtt. v; specific medicine gelsemium, gtt. xx; water, oz. iv. M.-Dose: Teaspoonful every two hours. The patient was entirely relieved in forty-eight hours.

Case (2).-Male; aged 72 years. Patient very feeble, with no appetite; great restlessness. Symptoms: Constant dull, heavy pains in bladder; continual calls to urinate; urine dribbling, with no relief; urine alkaline, containing large quantities of ropy mucus; no sugar; no albumen. Patient in bed, but constantly getting in and out.

Treatment.-A soft catheter was carefully introduced into the bladder, giving very little pain. The bladder was emptied of a large quantity of urine and mucus. The organ was then gently irrigated with a solution of Lloyd's hydrastis, one ounce to one pint of warm sterilized water. The irrigations were repeated night and morning with no constitutional or bad after effects.

Internally the patient was given five-grain tablets of hexymethylenamin every four hours.

R Specific medicine chimaphila, drams ii; water, oz. iv. M.Dose: Teaspoonful every two hours.

The patient improved so that in four days both the irrigations and the hexamethylenamin were discontinued. The chimaphila was continued for a few days until recovery was complete.

Case (3)-Patient, male; aged 40. Acute cystitis from cold. Intense spasmodic pain in neck of bladder, with tenesmus; constant efforts to urinate, with passage of but few drops of scalding urine; patient unable to remain quiet, restlessly moving about and trying to urinate.

R Specific medicine gelsemium, dram i; water, oz. iv. M.— Dose: Teaspoonful every half hour. The relief in this case was rapid and marked.

Case (4).-Female; unmarried; aged 19 years. Symptoms: Constant desire to urinate; urine hot and scalding; patient nervous, hysterical, fretting and worrying and apparently in great bodily and mental distress; pulse and temperature normal.

Treatment: R specific medicine apis, drops v; specific medicine gelsemium, drops x; water, oz. iv. M.-Dose: Teaspoonful every two hours.

She was relieved in twenty-four hours.

Case (5)-Male; aged 60 years; well nourished; pulse and temperature normal; appetite good. Symptoms: Dull, heavy pain in bladder; frequent urination, with slow stream; some dribbling, enough to keep clothing wet and odorous; arose occasionally during the night to urinate; there was sufficient bed-wetting at night to keep his bedroom uriniferous.

Treatment: R Specific medicine equisetum, drams ii; specific medicine chimaphila, drams ii; specific medicine thuja, gtt. x; water to make oz. iv. M.-Dose: Teaspoonful every two hours.

He made a good recovery in about two weeks.-Ellingwood's Therapeutist.

APOCYNUM.

BY A. E. HINSDALE, M. D., BAY CITY, MICH.

The beneficial results obtained with this remedy in dropsical conditions are well known, yet there are some cases which do not readily yield to the remedy as ordinarily administered. It has been suggested that the hypodermic injection of the drug may produce favorable results in these cases. The tincture can not very well be given hypodermically because of the irritant effect of the alcohol, and to overcome this effect a preparation for injection may be made as follows: An ounce or two of the tinctureor, better yet, the Eclectic specific medicine-is gradually heated over a water-bath to remove the alcohol. Continue the heating until a thick resinous fluid is obtained which is dissolved in 75 per cent solution of glycerine until the original volume is restored. This solution contains all the good properties of the original tincture without the irritant action of the alcohol. The fluid thus obtained is given hypodermically in doses beginning with five drops twice a day. This dosage is to be gradually increased. No set rule can be given for the exact dosage, as different persons are more susceptible to its action than others, and the dosage in each case must be determined by experiment upon the case in question. Another advantage in giving apocynum hypodermically in this way lies in the fact that the nausea and gastric distress which are so apt to follow the use of the drug when given by the mouth are entirely dispensed with.-Medical Century.

THE COLCHICUM CASE.

BY C. D. R. KIRK, M. D., SHUQUALAK, MISS.

I was recently called to a colchicum case-a case of rheumatism for which calomel, com. cathartic pills, and all of the up-to-date rheumatism remedies had "played out.” The young man was so exquisitely painful and so many muscles involved that he had to be moved by rolling him in blankets, as he could not be turned in any way with the hands without loud complaint. His tongue was full and yellowish white. The very case for calomel and podophyllin, but they and other remedies of the bilepersuading kind made a most signal failure. He was given the